Management ADVANCED MANAGEMENT PROGRAMME
Development
Institute
NOMINATION FORM
Programme Duration: 4 weeks | Dates: August 19 - September 15, 2019 | 24th Edition
Please photocopy for multiple nominations
Sponsoring Company Data
Company Name ....................................................................
Mailing Address ......................................................................
City ..................................... PIN ..........................................
State ......................................................................................
E-mail ..................................................................................
Fax No. ...................................................................................
Type of Industry ......................................................................
Turnover (in Rupees Crore) ..................................................
Number of Employess .........................................................
Please Enclose Latest Published Annual Report
Personal Data of the Nominee
Name .....................................................................................
Gender ...................... Age/Date of Birth ................................
Highest Degree Earned ..........................................................
Years of Experience ...............................................................
Designation ..................... Mobile ...........................................
Work Phones .........................................................................
E-mail address........................................................................
Fax Number ..................... Home Phone .............................
Mailing Address ......................................................................
Street/Location .......................................................................
City ....................................... PIN ........................................
State .......................................
Signature and name of the official making the nomination ............................................................................................................
Date ........................................... Designation of the official .......................................................
Email ......................................... Mobile .......................................
Management Development Institute, Mehrauli Road, Sukhrali, Gurugram 122001 (Haryana)
Fax No.: (+91-124) 4560005, EPABX: (+91-124) 4560000, Direct: (+91-124) 4560004, 4560008, 4560534,4560550
E-Mail : caomdp@mdi.ac.in, website : http://www.mdi.ac.in
24th Edition, 2019
How to Register for the Programme
1. REGISTRATION
Please complete this application form and mail or fax
to: The Chief Administrative Officer (Continuing
Education) Management Development Institute
Mehrauli Road, Sukhrali,
Gurugram 122001 (Haryana) INDIA
Tel: +91-124-4560004 Fax: +91-124-4560005
E-mail: caomdp@mdi.ac.in
2. FEES AND TERMS OF PAYMENT
The tuition fee is Rs. 2, 40,000/- for the Indian Phase-1
which includes boarding and lodging for 2 weeks at the MDI
campus. Additionally, Rs.3,10,000/- is payable towards the
Overseas Learning Programme (OLP). Phase- II this fee
includes the costs of academic inputs, travel to and fro &
within Europe in Economy Class airport transfers, medical
insurance and visa charges. The tuition fee of Rs. 2,40,000/-
is payable with the nomination. The fee for the OLP is billed
after acceptance and must be settled before the programme
begins. We accept payment through banks drafts and
NEFT/RTGS, payments should be made in favour of the
Management Development Institute, Gurugram. GST as
applicable will be charged extra (currently 18%)
3. NOMINATIONS AND CANCELLATIONS
The last date for receiving nominations along with the
Programme fee is 01st August, 2019. Nominations made
may be withdrawn or cancelled any time before the last date
at a nominal handling charge of Rs. 10,000. Thereafter, the
cancellation shall be subject to a charge of 50% of the fees.
Substitutions are accepted.
4. OTHER EXPENSES
For the OLP, the per diem expenses for boarding end
lodging and any other personal expenses will have to be
met by the respective organizations according to their rules.
To facilitate logistics, arrangements for stay abroad and in-
city travel will be organized by MDI. Incidentals, telephone,
laundry, mail, etc. handled by MDI should be settled directly
with us at the end of the programme.
5. CHANGE IN THE PROGRAMME
In the unlikely event of the programme being cancelled, all
sponsors and the participants will be promptly informed and
a full refund provided.
Particulars of Payment enclosed:
Cheque/Draft no .................... dated..............................
drawn on ............................... (bank)...........................
for Rs.2,40,000/- in favour of Management Development
Institute, Gurugram.